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Hawaii Community Care Foster Family Home Program: A Nursing Home Alternative

Page Reviewed / Updated - Mar. 2019

Program Description

The Community Care Foster Family Home (CCFFH) program is for Medicaid recipients, which helps to pay for nursing home level care outside of the nursing home environment. (Private pay individuals can also be accepted into this program.) Instead of living in institutions, program participants live in foster family homes. These types of homes provide care for up to three persons, providing a family-like environment for the aging, rather than institutional nursing home settings. As of 2019, there are approximately 800 CCFFH’s throughout the islands of Hawaii. 

Naming Confusion
Hawaii's Community Care Foster Family Home Program (CCFFH) is informally called Hawaii’s Adult Foster Care Program. This, along with the transition of the program from Hawaii’s Department of Human Services to Hawaii’s Department of Health, Office of Health Care Assurance, has created confusion, with some people thinking that these are two separate programs. To further add to the confusion, the Department of Health contracts with CommunityTies of America, Inc. to certify the CCFFH homes and license the Case Management Agencies (CMA) in which applicants must go through in order to apply for the program.

Eligibility Guidelines

In order for residents of Hawaii to live in certified CCFFH’s and receive financial assistance from the government, there are certain eligibility requirements they must meet.

  • Candidates must be receiving Supplemental Security Income, abbreviated as SSI, if they are eligible to do so.
  • If an applicant is not already receiving Long-Term Care Medicaid, one must apply for assistance. To be eligible in 2019, residents are limited to an annual income of $14,376 or $1,198 per month (100% of the Federal Poverty Level in Hawaii) and $2,000 in countable assets. Married applicants with one spouse entering a Foster Family Home are subject to different, higher limits, which allow the healthy spouse to afford to live independently. Learn more.
  • The applicant must need the level of care typically provided in a nursing home, which must be validated by a physician. A physical examination by a doctor is also necessary in the month preceding acceptance into the program, or within seven days following acceptance.
  • The applicant must be placed in care by a Case Management Agency and continue to receive case management services by the agency.
  • Finally, the care recipient cannot be related to the foster family.

In addition to the care recipient eligibility requirements above, there are also criteria for a home to be certified as a CCFFH. For instance, the main caregiver must be a minimum of 21 years old, experienced in caring for the elderly and disabled, and be a licensed practical nurse, a nurse aide, or a registered nurse.

Benefits and Services

Community Care Foster Family Homes provide personal care, assistance with the activities of daily living (mobility, bathing, toileting, etc.), room and board, 24-hour supervision, and homemaker services (preparation of meals, laundry, shopping, etc.), for their residents. Depending on the home, recreational activities, transportation assistance, administering of medications, and other services may also be offered. In addition, case management services are provided via a Case Management Agency.  

How to Apply / Learn More

Hawai'i residents, aged 65 and older, who have not applied for long term care Medicaid can do so online, in person at a benefits office or by calling 877-628-5076.

To apply for the CCFFH program, one must go through a Case Management Agency (CMA), either by contacting them directly or going through a referral. For a list of CMA’s across Hawaii, click here.  CMA’s can also help applicants apply for Long-Term Care Medicaid.

Make note, each CCFFH and CMA is independently contracted with various Medicaid Health Plans of their choosing. Therefore, it’s important to make sure that both are in the provider network for one’s health plan.